Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 5500 | OH |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 5500 | OH |
N | 152WP0200X | Pediatric Optomitrist | 5500 | OH |
NPI | 1255445219 |
---|---|
Provider Name | Dr. Jami Lyn Paul |
First Address | Massillon, OH 44646-4442 |
Second Address | Massillon, OH 44646-2018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |